Specialized Health Services Division Director

Commonwealth of VA Careers; Richmond (VA); On-site; USD 165,000 - 184,000; Full time

Job summary

Commonwealth of Virginia seeks a seasoned Division Director for Specialized Health Services to provide leadership for DMAS health care programs, directing policy, oversight, and performance across Dental, Pharmacy, and NEMT initiatives.

The role requires strategic thinking, vendor oversight, and collaboration with multiple DMAS divisions to ensure high-quality member experiences and adherence to regulations. Richmond-based, in-office duties emphasized.

Qualifications

• Extensive experience in Medicaid, healthcare administration, health insurance, or related public-sector programs.
• Extensive experience leading complex healthcare programs such as benefits, pharmacy, or transportation operations.
• Experience working with managed care organizations, providers, or government health programs.
• Experience developing and implementing policies, contracts, or operational strategies.
• Experience with systems and software, including Microsoft Suites.
• Knowledge of Medicaid/Medicare laws, regulations, and policies.

Responsibilities

• Lead strategic direction and operational oversight for specialized Medicaid programs within DMAS.
• Ensure programs are administered effectively, efficiently, and compliant with federal/state requirements.
• Collaborate with divisions like Cardinal Care, Health Analytics, Finance, and Procurement to integrate services.
• Establish a unified operating framework with accountability and strong program administration.
• Engage with executive leadership and external stakeholders to align incentives and outcomes.
• Provide in-person trainings/meetings and engage with internal and external stakeholders.
• Supervise large multidisciplinary teams and manage multiple priorities and deadlines.

Skills

Medicaid expertise

Healthcare administration

Public-sector programs

Policy development

Executive stakeholder communication

Vendor/provider oversight

Microsoft Office

Tools

Microsoft Office

Job description

Title: Specialized Health Services Division Director

State Role Title: Gen Admin Manager III

Hiring Range: $164,705 - $184,411

Pay Band: 7

Agency: Dept of Med Assistance Svcs

Location: Dept of Medical Asst Services

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties:

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Specialized Health Services Division Director in the Director's Office.

Job responsibilities will include, but are not limited to:

The Division Director of Specialized Health Care Administration provides leadership, strategic direction, and operational oversight for specialized Medicaid health care programs administered by the Virginia Department of Medical Assistance Services (DMAS).

The Division includes the Dental Program, Pharmacy Program, and Non-Emergency Medical Transportation (NEMT) Program.

The Director is responsible for ensuring that these programs are administered effectively, efficiently, and in accordance with federal and state requirements, Medicaid policy, contractual obligations, clinical standards, and DMAS strategic priorities.

The Division Director establishes a unified operating framework for specialized health care programs, ensuring clear accountability, strong program administration, effective vendor and provider oversight, fiscal stewardship, quality improvement, and a high-quality member experience.

The Director serves as a leader and works closely with the Cardinal Care Managed Care, Health Analytics, Finance, Procurement, Quality, Eligibility, Communications, and other DMAS divisions to ensure specialized benefits and services are effectively integrated into the broader Medicaid program.

The business needs for this position have in office requirements to include but are not limited to conducting the in‑person training and/or meetings and engaging with internal and external stakeholders.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

The Department of Medical Assistance Services (DMAS) is working to improve the health and well‑being of Virginians through access to high‑quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications:

• Extensive experience in Medicaid, healthcare administration, health insurance, public‑sector health programs, or a related field.
• Extensive experience leading complex healthcare programs such as health care benefits, pharmacy benefit management, operations, or organizational functions.
• Extensive experience working with managed care organizations, healthcare providers, or government healthcare programs.
• Extensive experience developing and implementing policies, programs, contracts, or operational strategies.
• Extensive experience of systems/programs/computer software, to include Microsoft Suites.
• Extensive knowledge/experience with Medicaid (Medicaid and CHIP federal and state laws, regulations and policies), managed care or public health systems.
• Extensive experience with meeting deadlines, and managing multiple priorities/initiatives.
• Extensive experience engaging with executive leadership, government agencies, vendors, providers, community organizations, and other stakeholders.
• Extensive experience managing large, multidisciplinary teams and/or complex organizational operations.
• Extensive experience engaging and communicating with executive‑level stakeholders.

Additional Considerations:

• Extensive knowledge of health care administration, provider contracting strategic planning and overall service delivery.
• Considerable knowledge of value‑based purchasing delivery system reform, and care coordination models.
• Extensive experience analyzing and articulating complex policy concepts, envision change, and promoting creative and innovative approaches.

The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce. In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service‑Connected Veterans may also apply via the AHP if they also provide an AHP Letter. To request an AHP Letter, use this link: AHP Letter or call DARS at 800-552-5019, or DBVI at 800-622-2155.

Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.